US10299773B2 - Device and method for assisting laparoscopic surgery—rule based approach - Google Patents
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Definitions
- the present invention generally relates to means and methods for improving the interface between the surgeon and the operating medical assistant or between the surgeon and an endoscope system for laparoscopic surgery. Moreover, the present invention discloses a device useful for spatially repositioning an endoscope to a specific region in the human body during surgery.
- the surgeon performs the operation through small holes using long instruments and observing the internal anatomy with an endoscope camera.
- the endoscope is conventionally held by a human camera assistant (i.e. operating medical assistant) since the surgeon must perform the operation using both hands.
- the surgeon's performance is largely dependent on the camera position relative to the instruments and on a stable image shown by the monitor.
- the main problem is that it is difficult for the operating medical assistant to hold the endoscope steady, keeping the scene upright.
- Laparoscopic surgery is becoming increasingly popular with patients because the scars are smaller and their period of recovery is shorter.
- Laparoscopic surgery requires special training for the surgeon or gynecologist and the theatre nursing staff.
- the equipment is often expensive and is not available in all hospitals.
- U.S. Pat. No. 6,714,841 discloses an automated camera endoscope in which the surgeon is fitted with a head mounted light source that transmits the head movements to a sensor, forming an interface that converts the movements to directions for the mechanical movement of the automated assistant.
- Alternative automated assistants incorporate a voice operated interface, a directional key interface, or other navigational interfaces. The above interfaces share the following drawbacks:
- the predetermined set of rules comprises at least one rule selected from a group consisting of: most used tool rule, right tool rule, left tool rule, field of view rule, no fly zone rule, route rule, environmental rule, operator input rule, proximity rule; collision prevention rule, history-based rule, tool-dependent allowed and restricted movements rule, preferred volume zone rule, preferred tool rule, a movement detection rule, tagged tool rule, go-to rule, change of speed rule and any combination thereof.
- the route rule comprises a communicable database storing predefined route in which the at least one surgical tool is configured to move within the surgical environment;
- the predefined route comprises n 3D spatial positions of the at least one surgical tool;
- n is an integer greater than or equal to 2;
- the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D spatial positions of the predefined route, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions of the predefined route.
- the environmental rule comprises a communicable database
- the communicable database is configured to received real-time image of the surgical environment and is configured to perform real-time image processing of the same and to determine the 3D spatial position of hazards or obstacles in the surgical environment
- the environmental rule is configured to determine the allowed and restricted movements according to the hazards or obstacles in the surgical environment, such that the restricted movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the 3D spatial positions.
- the operator input rule comprises a communicable database; the communicable database is configured to receive an input from the operator of the system regarding the allowed and restricted movements of the at least one surgical tool.
- the predetermined set of rules comprises at least one rule selected from the group consisting of: most used tool, right tool rule, left tool rule, field of view rule, no fly zone rule, a route rule, an environmental rule, an operator input rule, a proximity rule; a collision prevention rule, preferred volume zone rule, movement detection rule, a history based rule, a tool-dependent allowed and restricted movements rule, and any combination thereof.
- said a tagged tool rule comprises means configured to tag at least one surgical tool within said surgical environment and to determine said allowed movement of said endoscope according to the movement of said tagged surgical tool.
- the field of view rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions so as to maintain a constant field of view, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred volume zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions and restricted movement of the endoscope outside the n 3D spatial positions, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred tool rule comprises a communicable database
- the database stores a preferred tool
- the preferred tool rule is configured to determine the allowed movement of the endoscope according to the movement of the preferred tool.
- the no fly zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone rule is configured to determine the restricted movement if the movement is within the no fly zone and the allowed movement if the movement is outside the no fly zone, such that the restricted movements are movements in which the at least one of the surgical tool is located substantially in at least one of the n 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the most used tool rule comprises a communicable database counting the amount of movement of each of the surgical tools; the most used tool rule is configured to constantly position the endoscope to track the movement of the most moved surgical tool.
- the history based rule comprises a communicable database storing each 3D spatial position of each of the surgical tool, such that each movement of each surgical tool is stored; the history based rule is configured to determine the allowed and restricted movements according to historical movements of the at least one surgical tool, such that the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the tool-dependent allowed and restricted movements rule comprises a communicable database; the communicable database is configured to store predetermined characteristics of at least one of the surgical tool; the tool-dependent allowed and restricted movements rule is configured to determine the allowed and restricted movements according to the predetermined characteristics of the surgical tool.
- the movement detection rule comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tool; and to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, such that the allowed movements are movements in which the endoscope is directed to focus on the moving surgical tool.
- the at least one location estimating means comprises at least one endoscope configured to acquire real-time images of the surgical environment within the human; and at least one surgical instrument spatial location software configured to receive said real-time images of said surgical environment and to estimate said 3D spatial position of said at least one surgical tool.
- the at least one location estimating means are comprises (a) at least one element selected from a group consisting of optical imaging means, radio frequency transmitting and receiving means, at least one mark on the at least one surgical tool and any combination thereof; and, (b) at least one surgical instrument spatial location software configured to estimate said 3D spatial position of said at least one surgical tool by means of said element.
- the at least one location estimating means are an interface subsystem between a surgeon and the at least one surgical tool, the interface subsystem comprises:
- the route rule comprises a communicable database storing predefined route in which the at least one surgical tool is configured to move within the surgical environment;
- the predefined route comprises n 3D spatial positions of the at least one surgical tool;
- n is an integer greater than or equal to 2;
- the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D spatial positions of the predefined route, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions of the predefined route.
- the environmental rule comprises a communicable database
- the communicable database is configured to received real-time image of the surgical environment and is configured to perform real-time image processing of the same and to determine the 3D spatial position of hazards or obstacles in the surgical environment
- the environmental rule is configured to determine the allowed and restricted movements according to the hazards or obstacles in the surgical environment, such that the restricted movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the 3D spatial positions.
- the operator input rule comprises a communicable database; the communicable database is configured to receive an input from the operator of the system regarding the allowed and restricted movements of the at least one surgical tool.
- the proximity rule is configured to define a predetermined distance between at least two surgical tools; the allowed movements are movements which are within the range or out of the range of the predetermined distance, and the restricted movements which are out of the range or within the range of the predetermined distance.
- the proximity rule is configured to define a predetermined angle between at least three surgical tools; the allowed movements are movements which are within the range or out of the range of the predetermined angle, and the restricted movements which are out of the range or within the range of the predetermined angle
- a tagged tool rule comprises means configured to tag at least one surgical tool within said surgical environment and to determine said allowed movement of said endoscope according to the movement of said tagged surgical tool.
- the field of view rule comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions so as to maintain a constant field of view, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred volume zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions and restricted movement of the endoscope outside the n 3D spatial positions, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred tool rule comprises a communicable database
- the database stores a preferred tool
- the preferred tool rule is configured to determine the allowed movement of the endoscope according to the movement of the preferred tool.
- the no fly zone rule comprises n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone rule is configured to determine the restricted movement if the movement is within the no fly zone and the allowed movement if the movement is outside the no fly zone, such that the restricted movements are movements in which the at least one of the surgical tool is located substantially in at least one of the n 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the most used tool rule comprises a database counting the amount of movement of each of the surgical tools; the most used tool rule is configured to constantly position the endoscope to track the movement of the most moved surgical tool.
- the history based rule comprises a communicable database storing each 3D spatial position of each of the surgical tool, such that each movement of each surgical tool is stored; the history based rule is configured to determine the allowed and restricted movements according to historical movements of the at least one surgical tool, such that the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the tool-dependent allowed and restricted movements rule comprises a communicable database; the communicable database is configured to store predetermined characteristics of at least one of the surgical tool; the tool-dependent allowed and restricted movements rule is configured to determine the allowed and restricted movements according to the predetermined characteristics of the surgical tool.
- the movement detection rule comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tool; and to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, such that the allowed movements are movements in which the endoscope is directed to focus on the moving surgical tool.
- the at least one location estimating means comprises at least one endoscope configured to acquire real-time images of a surgical environment within the human body; and at least one surgical instrument spatial location software configured to receive said real-time images of said surgical environment and to estimate said 3D spatial position of said at least one surgical tool.
- the at least one location estimating means are comprises (a) at least one element selected from a group consisting of optical imaging means, radio frequency transmitting and receiving means, at least one mark on the at least one surgical tool and any combination thereof; and, (b) at least one surgical instrument spatial location software configured to estimate said 3D spatial position of said at least one surgical tool by means of said element.
- the at least one location estimating means are an interface subsystem between a surgeon and the at least one surgical tool
- the interface subsystem comprises:
- each of the instructing functions g i (t) is provided with ⁇ i (t) where i is an integer greater than or equal to 1; where ⁇ i (t) are weighting functions of each g i (t), and a n is total number of instruction functions.
- each of the instructing functions g i (t) is selected from a group consisting of: most used tool function, a right tool function, left tool function, field of view function, preferred volume zone function, preferred tool function, no fly zone function, a tool detection function, a movement detection function, an organ detection function, a collision detection function, an operator input function, a prediction function, a past statistical analysis function, proximity function, a tagged tool function, and any combination thereof.
- the movement detection function comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tool in the surgical environment; and to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, and to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope on the moved surgical tool.
- the operator input function comprises a communicable database; the communicable database is configured to receive an input from the operator of the system; the input comprising n 3D spatial positions; n is an integer greater than or equal to 2; and to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the at least one 3D spatial position received.
- the preferred volume zone function comprises communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the preferred volume zone.
- the preferred tool function comprises a communicable database
- the database stores a preferred tool
- the preferred tool function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the preferred tool.
- the field of view function comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to at least one 3D spatial position substantially within the n 3D spatial positions so as to maintain a constant field of view.
- the no fly zone function comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to at least one 3D spatial position substantially different from all the n 3D spatial positions.
- the most used tool function comprises a communicable database counting the amount of movement of each surgical tool located within the surgical environment; the most used tool function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to constantly position the endoscope to track the movement of the most moved surgical tool.
- the prediction function comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the prediction function is configured to (a) to predict the future 3D spatial position of each of the surgical tools; and, (b) to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the future 3D spatial position.
- the past statistical analysis function comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the past statistical analysis function is configured to (a) statistical analyze the 3D spatial positions of each of the surgical tools; and, (b) to predict the future 3D spatial position of each of the surgical tools; and, (c) to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the future 3D spatial position.
- a tagged tool function comprises means configured to tag at least one surgical tool within the surgical environment and to output instructions to the tracking subsystem to instruct the maneuvering system to constantly direct the endoscope to the tagged surgical tool.
- the endoscope comprises an image acquisition device selected from the group consisting of: a camera, a video camera, an electromagnetic sensor, a computer tomography imaging device, a fluoroscopic imaging device, an ultrasound imaging device, and any combination thereof.
- the at least one location estimating means are an interface subsystem between a surgeon and the at least one surgical tool, the interface subsystem comprises:
- each of the instructing functions g i (t) is provided with ⁇ i (t) where i is an integer greater than or equal to 1; where ⁇ i (t) are weighting functions of each g i (t), and a n is total number of instruction functions.
- each of the instructing functions g i (t) is selected from a group consisting of: most used tool function, a right tool function, left tool function, field of view function, preferred volume zone function, preferred tool function, no fly zone function, a tool detection function, a movement detection function, an organ detection function, a collision detection function, an operator input function, a prediction function, a past statistical analysis function, proximity function, a tagged tool function, and any combination thereof.
- weighting functions ⁇ i (t) are time-varying functions, wherein the value of which is determined by the operators.
- the movement detection function comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tool in the surgical environment; and to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, and to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope on the moved surgical tool.
- the operator input function comprises a communicable database; the communicable database is configured to receive an input from the operator of the system; the input comprising n 3D spatial positions; n is an integer greater than or equal to 2; and to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the at least one 3D spatial position received.
- the preferred volume zone function comprises communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the preferred volume zone.
- the preferred tool function comprises a communicable database
- the database stores a preferred tool
- the preferred tool function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the preferred tool.
- the field of view function comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to at least one 3D spatial position substantially within the n 3D spatial positions so as to maintain a constant field of view.
- the no fly zone function comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to at least one 3D spatial position substantially different from all the n 3D spatial positions.
- the most used tool function comprises a communicable database counting the amount of movement of each surgical tool located within the surgical environment; the most used tool function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to constantly position the endoscope to track the movement of the most moved surgical tool.
- the prediction function comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the prediction function is configured to (a) to predict the future 3D spatial position of each of the surgical tools; and, (b) to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the future 3D spatial position.
- the past statistical analysis function comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the past statistical analysis function is configured to (a) statistical analyze the 3D spatial positions of each of the surgical tools; and, (b) to predict the future 3D spatial position of each of the surgical tools; and, (c) to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the future 3D spatial position.
- a tagged tool function comprises means configured to tag at least one surgical tool within the surgical environment and to output instructions to the tracking subsystem to instruct the maneuvering system to constantly direct the endoscope to the tagged surgical tool.
- the endoscope comprises an image acquisition device selected from the group consisting of: a camera, a video camera, an electromagnetic sensor, a computer tomography imaging device, a fluoroscopic imaging device, an ultrasound imaging device, and any combination thereof.
- the predetermined set of rules comprises at least one rule selected from the group consisting of: most used tool rule, right tool rule, left tool rule, field of view rule, no fly zone rule, route rule, environmental rule, operator input rule, proximity rule; collision prevention rule, history based rule, tool-dependent allowed and restricted movements rule, preferred volume zone rule, preferred tool rule, movement detection rule, and any combination thereof.
- the route rule comprises a communicable database storing predefined route in which the at least one surgical tool is configured to move within the surgical environment;
- the predefined route comprises n 3D spatial positions of the at least one surgical tool;
- n is an integer greater than or equal to 2;
- the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D spatial positions of the predefined route, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions of the predefined route.
- the environmental rule comprises a communicable database
- the communicable database is configured to received real-time image of the surgical environment and is configured to perform real-time image processing of the same and to determine the 3D spatial position of hazards or obstacles in the surgical environment
- the environmental rule is configured to determine the allowed and restricted movements according to the hazards or obstacles in the surgical environment, such that the restricted movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the 3D spatial positions.
- the operator input rule comprises a communicable database; the communicable database is configured to receive an input from the operator of the system regarding the allowed and restricted movements of the at least one surgical tool.
- the predetermined set of rules comprises at least one rule selected from the group consisting of: most used tool, right tool rule, left tool rule, field of view rule, no fly zone rule, a route rule, an environmental rule, an operator input rule, a proximity rule; a collision prevention rule, preferred volume zone rule, movement detection rule, a history based rule, a tool-dependent allowed and restricted movements rule, and any combination thereof.
- the field of view rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions so as to maintain a constant field of view, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred volume zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions and restricted movement of the endoscope outside the n 3D spatial positions, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred tool rule comprises a communicable database
- the database stores a preferred tool
- the preferred tool rule is configured to determine the allowed movement of the endoscope according to the movement of the preferred tool.
- the no fly zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone rule is configured to determine the restricted movement if the movement is within the no fly zone and the allowed movement if the movement is outside the no fly zone, such that the restricted movements are movements in which the at least one of the surgical tool is located substantially in at least one of the n 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the most used tool rule comprises a communicable database counting the amount of movement of each of the surgical tools; the most used tool rule is configured to constantly position the endoscope to track the movement of the most moved surgical tool.
- the history based rule comprises a communicable database storing each 3D spatial position of each of the surgical tool, such that each movement of each surgical tool is stored; the history based rule is configured to determine the allowed and restricted movements according to historical movements of the at least one surgical tool, such that the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the tool-dependent allowed and restricted movements rule comprises a communicable database; the communicable database is configured to store predetermined characteristics of at least one of the surgical tool; the tool-dependent allowed and restricted movements rule is configured to determine the allowed and restricted movements according to the predetermined characteristics of the surgical tool.
- the movement detection rule comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tool; and to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, such that the allowed movements are movements in which the endoscope is directed to focus on the moving surgical tool.
- the at least one location estimating means are comprises at least one selected from a group consisting of optical imaging means, radio frequency transmitting and receiving means, at least one mark on the at least one surgical tool and any combination thereof.
- controller's database is configured to store a predetermined set of rules according to which allowed and restricted movements of the at least one surgical tool are determined, such that each detected movement by said movement detection means of said at least one surgical tool is determined as either an allowed movement or as a restricted movement according to said predetermined set of rules.
- the predetermined set of rules comprises at least one rule selected from the group consisting of: most used tool, right tool rule, left tool rule, field of view rule, no fly zone rule, a route rule, an environmental rule, an operator input rule, a proximity rule; a collision prevention rule, preferred volume zone rule, preferred tool rule, movement detection rule, a history based rule, a tool-dependent allowed and restricted movements rule, and any combination thereof.
- the route rule comprises a communicable database storing predefined route in which the at least one surgical tool is configured to move within the surgical environment;
- the predefined route comprises n 3D spatial positions of the at least one surgical tool;
- n is an integer greater than or equal to 2;
- the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D spatial positions of the predefined route, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions of the predefined route.
- the environmental rule comprises a communicable database
- the communicable database is configured to received real-time image of the surgical environment and is configured to perform real-time image processing of the same and to determine the 3D spatial position of hazards or obstacles in the surgical environment
- the environmental rule is configured to determine the allowed and restricted movements according to the hazards or obstacles in the surgical environment, such that the restricted movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the 3D spatial positions.
- the operator input rule comprises a communicable database; the communicable database is configured to receive an input from the operator of the system regarding the allowed and restricted movements of the at least one surgical tool.
- the predetermined rule is selected from the group consisting of: most used tool, right tool rule, left tool rule, field of view rule, no fly zone rule, a route rule, an environmental rule, an operator input rule, a proximity rule; a collision prevention rule, preferred volume zone rule, preferred tool rule, movement detection rule, a history based rule, a tool-dependent allowed and restricted movements rule, and any combination thereof.
- the proximity rule is configured to define a predetermined distance between at least two surgical tools; the allowed movements are movements which are within the range or out of the range of the predetermined distance, and the restricted movements which are out of the range or within the range of the predetermined distance.
- the field of view rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions so as to maintain a constant field of view, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred volume zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions and restricted movement of the endoscope outside the n 3D spatial positions, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred tool rule comprises a communicable database
- the database stores a preferred tool
- the preferred tool rule is configured to determine the allowed movement of the endoscope according to the movement of the preferred tool.
- the no fly zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone rule is configured to determine the restricted movement if the movement is within the no fly zone and the allowed movement if the movement is outside the no fly zone, such that the restricted movements are movements in which the at least one of the surgical tool is located substantially in at least one of the n 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the most used tool rule comprises a communicable database counting the amount of movement of each of the surgical tools; the most used tool rule is configured to constantly position the endoscope to track the movement of the most moved surgical tool.
- the history based rule comprises a communicable database storing each 3D spatial position of each of the surgical tool, such that each movement of each surgical tool is stored; the history based rule is configured to determine the allowed and restricted movements according to historical movements of the at least one surgical tool, such that the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the tool-dependent allowed and restricted movements rule comprises a communicable database; the communicable database is configured to store predetermined characteristics of at least one of the surgical tool; the tool-dependent allowed and restricted movements rule is configured to determine the allowed and restricted movements according to the predetermined characteristics of the surgical tool.
- the movement detection rule comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tool; and to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, such that the allowed movements are movements in which the endoscope is directed to focus on the moving surgical tool.
- controller's database comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said field of view rule is configured to relocate said endoscope if movement of at least one of said surgical tools has been detected by said detection means, such that said field of view is maintained.
- controller's database comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said field of view rule is configured to relocate said endoscope if movement of at least one of said surgical tools has been detected by said detection means, such that said field of view is maintained.
- controller's database comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said field of view rule is configured to relocate said endoscope if movement of at least one of said surgical tools has been detected by said detection means, such that said field of view is maintained.
- controller's database comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said field of view rule is configured to relocate said endoscope if movement of at least one of said surgical tools has been detected by said detection means, such that said field of view is maintained.
- controller's database comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said field of view rule is configured to relocate said endoscope if movement of at least one of said surgical tools has been detected by said detection means, such that said field of view is maintained.
- controller's database comprises n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said field of view rule is configured to relocate said endoscope if movement of at least one of said surgical tools has been detected by said detection means, such that said field of view is maintained.
- FIGS. 1-2 illustrate one embodiment of the present invention
- FIG. 2A shows an example of using the location system in abdominal laparoscopic surgery
- FIG. 2B shows an example of using the location system in knee endoscopic surgery.
- FIG. 2C shows an example of using the location system in shoulder endoscopic surgery
- FIG. 3A-D schematically illustrates operation of an embodiment of a tracking system with collision avoidance system
- FIG. 4A-D schematically illustrates operation of an embodiment of a tracking system with no fly zone rule/function
- FIG. 5A-D schematically illustrates operation of an embodiment of a tracking system with preferred volume zone rule/function
- FIG. 6 schematically illustrates operation of an embodiment of the organ detection function/rule
- FIG. 7 schematically illustrates operation of an embodiment of the tool detection function/rule
- FIG. 8A-B schematically illustrates operation of an embodiment of the movement detection function/rule
- FIG. 9A-D schematically illustrates operation of an embodiment of the prediction function/rule
- FIG. 10 schematically illustrates operation of an embodiment of the right tool function/rule
- FIG. 11A-B schematically illustrates operation of an embodiment of the field of view function/rule
- FIG. 12 schematically illustrates operation of an embodiment of the tagged tool function/rule
- FIG. 13A-C schematically illustrates operation of an embodiment of the proximity function/rule
- FIG. 14A-B schematically illustrates operation of an embodiment of the operator input function/rule
- FIGS. 15A-D schematically illustrate an embodiment of a tracking system with a constant field of view rule/function
- FIG. 16 schematically illustrates an embodiment of a tracking system with a change of speed rule/function.
- FIGS. 17A-B - 18 A-B schematically illustrate an embodiment of a tracking system with a go-to rule/function.
- toggle refers hereinafter to switching between one tagged surgical tool and another.
- surgical environment refers hereinafter to any anatomical part within the human body which can be in surrounding a surgical instrument.
- the environment can comprise: organs, body parts, walls of organs, arteries, veins, nerves, a region of interest, or any other anatomical part of the human body.
- endoscope refers hereinafter to any means configured for looking inside the body for medical reasons. This can be any instrument used to examine the interior of a hollow organ or cavity of the body.
- the endoscope can also refer to any kind of a laparoscope. It should be pointed that the following description can refer to an endoscope as a surgical tool.
- region of interest refers hereinafter to any region within the human body which can be of interest to the operator of the system of the present invention.
- the region of interest can be, for example, an organ to be operated on, a restricted area to which approach of a surgical instrument is restricted, a surgical instrument, or any other region within the human body.
- spatial position refers hereinafter to a predetermined spatial location and/or orientation of an object (e.g., the spatial location of the endoscope, the angular orientation of the endoscope, and any combination thereof).
- prohibited area refers hereinafter to a predetermined area to which a surgical tool (e.g., an endoscope) is prohibited to be spatially positioned in.
- a surgical tool e.g., an endoscope
- a surgical tool e.g., an endoscope
- a surgical tool e.g., an endoscope
- automated assistant refers hereinafter to any mechanical device (including but not limited to a robotic device) that can maneuver and control the position of a surgical or endoscopic instrument, and that can in addition be configured to receive commands from a remote source.
- tool or ‘surgical instrument’ refers hereinafter to any instrument or device introducible into the human body.
- the term can refer to any location on the tool. For example it can refer to the tip of the same, the body of the same and any combination thereof. It should be further pointed that the following description can refer to a surgical tool/instrument as an endoscope.
- ALOWED movement refers hereinafter to any movement of a surgical tool which is permitted according to a predetermined set of rules.
- restrictive movement refers hereinafter to any movement of a surgical tool which is forbidden according to a predetermined set of rules.
- one rule provides a preferred volume zone rule which defines a favored zone within the surgical environment.
- an allowed movement of a surgical tool or the endoscope is a movement which maintains the surgical tool within the favored zone; and a restricted movement of a surgical tool is a movement which extracts (or moves) the surgical tool outside the favored zone.
- time step refers hereinafter to the working time of the system.
- the system receives data from sensors and commands from operators and processes the data and commands and executes actions.
- the time step size is the elapsed time between time steps.
- Laparoscopic surgery also called minimally invasive surgery (MIS) is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5-1.5 cm) as compared to larger incisions needed in traditional surgical procedures.
- MIS minimally invasive surgery
- the key element in laparoscopic surgery is the use of a laparoscope, which is a device configured for viewing the scene within the body, at the distal end of the laparoscope. Either an imaging device is placed at the end of the laparoscope, or a rod lens system or fiber optic bundle is used to direct this image to the proximal end of the laparoscope.
- a light source to illuminate the operative field, inserted through a 5 mm or 10 mm cannula or trocar to view the operative field.
- the abdomen is usually injected with carbon dioxide gas to create a working and viewing space.
- the abdomen is essentially blown up like a balloon (insufflated), elevating the abdominal wall above the internal organs like a dome.
- various medical procedures can be carried out.
- the laparoscope cannot view the entire working space within the body, so the laparoscope is repositioned to allow the surgeon to view regions of interest within the space.
- the present invention discloses a surgical controlling system configured to control the position of at least one surgical tool during a surgery of the human body.
- the system can perform the control by identifying the location of the surgical tool, and provide instruction to the operator to which direction the surgical tool can or should be directed, and to which direction the surgical tool is restricted from being moved to.
- the surgical controlling system comprises the following components:
- the database is configured to store a predetermined set of rules according to which allowed and restricted movements of the at least one surgical tool are determined, such that the spatial position of the at least one surgical tool is controlled by the controller according to the allowed and restricted movements.
- each detected movement by said movement detection means of said at least one surgical tool is determined as either an allowed movement or as a restricted movement according to said predetermined set of rules.
- the present invention stores the 3D spatial position of each of said surgical tools at a current at time t f and at time t 0 ; where t f >t 0 . If the 3D spatial position of said at least one surgical tool at time t f is different than said 3D spatial position of said at least one surgical tool at time t 0 movement of the tool is detected. Next the system analyses said movement according to said set of rule and process whether said movement is allowed movement or restricted movement.
- the system prevents said movement, if said movement is a restricted movement. Said movement prevention is obtained by controlling a maneuvering system which prevents the movement of said surgical tool.
- the system does not prevent said movement, (if said movement is a restricted movement), but merely signals/alerts the user (i.e., the physician) of said restricted movement.
- said surgical tool is an endoscope.
- the controller can provide a suggestion to the operator as to which direction the surgical tool has to move to or can be moved to.
- the present invention provides a predetermined set of rules which define what is an “allowed movement” of any surgical tool within the surgical environment and what is a “restricted movement” of any surgical tool within the surgical environment.
- the system of the present invention comprises a maneuvering subsystem communicable with the controller, the maneuvering subsystem is configured to spatially reposition the at least one surgical tool during surgery according to the predetermined set of rules.
- the controller can provide instructions to a maneuvering subsystem for spatially repositioning the location of the surgical tool. According to these instructions, only allowed movements of the surgical tool will be performed. Preventing restricted movements is performed by: detecting the location of the surgical tool; processing all current rules; analyzing the movement of the surgical tool and preventing the movement if the tool's movement is a restricted movement.
- system merely alerts the physician of a restricted movement of at least one surgical tool (instead of preventing said restricted movement).
- Alerting the physician of restricted movements is performed by: detecting the location of the surgical tool; processing all current rules; analyzing the movement of the surgical tool and informing the surgeon (the user of the system) if the tool's movement is an allowed movement or a restricted movement.
- the same process (of detecting the location of the surgical tool; processing all current rules and analyzing the movement of the surgical tool) is followed except for the last movement, where the movement is prevented if the tool's movement is a restricted movement.
- the surgeon can also be informed that the movement is being prevented.
- the above is performed by detecting the location of the surgical tool and analyzing the surgical environment of the surgical tool. Following analysis of the surgical environment and detection of the location of the surgical tool, the system can assess all the risks which can follow a movement of the surgical tool in the predetermined direction. Therefore, each location in the surgical environment has to be analyzed so that any possible movement of the surgical tool will be classified as an allowed movement or a restricted movement.
- the location of each tool is determined using image processing means and determining in real-time what is the 3D spatial location of each tool.
- tool can refer to the any location on the tool. For example, it can refer to the tip of the same, the body of the same and any combination thereof.
- the predetermined set of rules which are the essence of the present invention are configured to take into consideration all the possible factors which can be important during the surgical procedure.
- the predetermined set of rules can comprise the following rules or any combination thereof:
- the collision prevention rule defines a minimum distance below which two or more tools should not be brought together (i.e., there is minimum distance between two or more tools that should be maintained). If the movement of one tool will cause it to come dangerously close to another tool (i.e., the distance between them, after the movement, is smaller than the minimum distance defined by the collision prevention rule), the controller either alerts the user that the movement is a restricted movement or does not permit the movement.
- the identification is provided by conventional means known to any skilled in the art (e.g., image processing, optical means etc.).
- the route rule comprises a predefined route in which the at least one surgical tool is configured to move within the surgical environment; the allowed movements are movements in which the at least one surgical tool is located within the borders of the predefined route, and the restricted movements are movements in which the at least one surgical tool is located out of the borders of the predefined route.
- the route rule comprises a communicable database storing at least one predefined route in which the at least one surgical tool is configured to move within the surgical environment; the predefined route comprises n 3D spatial positions of the at least one surgical tool in the route; n is an integer greater than or equal to 2; allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D spatial positions of the predefined route, and restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions of the predefined route.
- each of the surgical tool's courses (and path in any surgical procedure) is stored in a communicable database. Allowed movements are defined as movements in which the at least one surgical tool is located substantially in at least one of the stored routes; and restricted movements are movements in which the at least one surgical tool is in a substantially different location than any location in any stored route.
- the environmental rule is configured to determine allowed and restricted movements according to hazards or obstacles in the surgical environment as received from an endoscope or other sensing means.
- the environmental rule comprises a communicable database; the communicable database is configured to received real-time images of the surgical environment and is configured to perform real-time image processing of the same and to determine the 3D spatial position of hazards or obstacles in the surgical environment; the environmental rule is configured to determine allowed and restricted movements according to hazards or obstacles in the surgical environment, such that restricted movements are movements in which at least one surgical tool is located substantially in at least one of the 3D spatial positions, and allowed movements are movements in which the location of at least one surgical tool is substantially different from the 3D spatial positions.
- each element in the surgical environment is identified so as to establish which is a hazard or obstacle (and a path in any surgical procedure) and each hazard and obstacle (and path) is stored in a communicable database.
- Restricted movements are defined as movements in which the at least one surgical tool is located substantially in the same location as that of the hazards or obstacles; and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from that of all of the hazards or obstacles.
- hazards and obstacles in the surgical environment are selected from a group consisting of tissues, surgical tools, organs, endoscopes and any combination thereof.
- the operator input rule is configured to receive an input from the operator of the system regarding the allowed and restricted movements of the at least one surgical tool.
- the operator input rule comprises a communicable database; the communicable database is configured to receive an input from the operator of the system regarding allowed and restricted movements of the at least one surgical tool.
- the input comprises n 3D spatial positions; n is an integer greater than or equal to 2; wherein at least one of which is defined as an allowed location and at least one of which is defined as a restricted location, such that the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D allowed spatial positions, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D allowed spatial positions.
- the input comprises at least one rule according to which allowed and restricted movements of the at least one surgical tool are determined, such that the spatial position of the at least one surgical tool is controlled by the controller according to the allowed and restricted movements.
- the operator input rule can convert an allowed movement to a restricted movement and a restricted movement to an allowed movement.
- the proximity rule is configured to define a predetermined distance between the at least one surgical tool and at least one another surgical tool; the allowed movements are movements which are within the range or out of the range of the predetermined distance, and the restricted movements which are out of the range or within the range of the predetermined distance; the allowed movements and the restricted movements are defined according to different ranges.
- the proximity rule is configured to define a predetermined distance between at least two surgical tools.
- the allowed movements are movements which are within the range of the predetermined distance, while the restricted movements which are out of the range of the predetermined distance.
- the allowed movements are movements which are out of the range of the predetermined distance, while the restricted movements are within the range of the predetermined distance
- the proximity rule is configured to define a predetermined angle between at least three surgical tools; allowed movements are movements which are within the range or out of the range of the predetermined angle, and restricted movements are movements which are out of the range or within the range of the predetermined angle.
- the collision prevention rule is configured to define a predetermined distance between the at least one surgical tool and an anatomical element within the surgical environment (e.g. tissue, organ, another surgical tool or any combination thereof); the allowed movements are movements which are in a range that is larger than the predetermined distance, and the restricted movements are movements which is in a range that is smaller than the predetermined distance.
- an anatomical element within the surgical environment (e.g. tissue, organ, another surgical tool or any combination thereof)
- the allowed movements are movements which are in a range that is larger than the predetermined distance
- the restricted movements are movements which is in a range that is smaller than the predetermined distance.
- the anatomical element is selected from a group consisting of tissue, organ, another surgical tool or any combination thereof.
- the surgical tool is an endoscope.
- the endoscope is configured to provide real-time images of the surgical environment.
- the right tool rule is configured to determine the allowed movement of the endoscope according to the movement of a surgical tool in a specified position in relation to the endoscope, preferably positioned to right of the same.
- the tool which is defined as the right tool is constantly tracked by the endoscope.
- the right tool is defined as the tool positioned to the right of the endoscope; according to other embodiments, any tool can be defined as the right tool.
- An allowed movement, according to the right tool rule is a movement in which the endoscope field of view is moved to a location substantially the same as the location of the right tool, thereby tracking the right tool.
- a restricted movement, according to the right tool rule is a movement in which the endoscope field of view is moved to a location substantially different from the location of the right tool.
- the left tool rule is configured to determine the allowed movement of the endoscope according to the movement of a surgical tool in a specified position in relation to the endoscope, preferably positioned to left of the same.
- the tool which is defined as the left tool is constantly tracked by the endoscope.
- the left tool is defined as the tool positioned to the left of the endoscope; according to other embodiments, any tool can be defined as the left tool.
- An allowed movement, according to the left tool rule is a movement in which the endoscope field of view is moved to a location substantially the same as the location of the left tool.
- a restricted movement, according to the left tool rule is a movement in which the endoscope field of view is moved to a location substantially different from the location of the left tool.
- the field of view rule is configured to define a field of view and maintain that field of view.
- the field of view rule is defined such that if the endoscope is configured to track a predetermined set of tools in a desired field of view, when one of those tools is no longer in the field of view, the rule instructs the endoscope to zoom out so as to reintroduce the tool into the field of view.
- the field of view rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions so as to maintain a constant field of view, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the field of view rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view.
- the field of view rule further comprises a communicable database of m tools and the 3D spatial locations of the same, where m is an integer greater than or equal to 1 and where a tool can be a surgical tool, an anatomical element and any combination thereof.
- the combination of all of the n 3D spatial positions provides a predetermined field of view.
- the field of view rule is configured to determine allowed movement of the endoscope such that the m 3D spatial positions of the tools comprise at least one of the n 3D spatial positions of the field of view, and restricted movements are movements in which the 3D spatial position of at least one tool is substantially different from the n 3D spatial positions of the field of view.
- the preferred volume zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone rule is configured to determine the allowed movement of the endoscope within the n 3D spatial positions and restricted movement of the endoscope outside the n 3D spatial positions, such that the allowed movements are movements in which the endoscope is located substantially in at least one of the n 3D spatial positions, and the restricted movements are movements in which the location of the endoscope is substantially different from the n 3D spatial positions.
- the preferred volume zone rule defines a volume of interest (a desired volume of interest), such that an allowed movement, according to the preferred volume zone rule, is a movement in which the endoscope (or any surgical tool) is moved to a location within the defined preferred volume.
- a restricted movement, according to the preferred volume zone rule is a movement in which the endoscope (or any surgical tool) is moved to a location outside the defined preferred volume.
- the preferred tool rule comprises a communicable database, the database stores a preferred tool; the preferred tool rule is configured to determine the allowed movement of the endoscope according to the movement of the preferred tool.
- the preferred tool rule defines a preferred tool (i.e., a tool of interest) that the user of the system wishes to track.
- An allowed movement is a movement in which the endoscope is moved to a location substantially the same as the location of the preferred tool.
- a restricted movement is a movement in which the endoscope is moved to a location substantially different from the location of the preferred tool.
- the endoscope constantly tracks the preferred tool, such that the field of view, as seen from the endoscope, is constantly the preferred tool.
- the user can define in said preferred tool rule to constantly track the tip of said preferred tool or alternatively, the user can define in said preferred tool rule to constantly track the body or any location on the preferred tool.
- the no fly zone rule is configured to define a restricted zone into which no tool (or alternatively no predefined tool) is permitted to enter.
- the no fly zone rule comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone rule is configured to determine a restricted movement if the movement is within the no fly zone and an allowed movement if the movement is outside the no fly zone, such that restricted movements are movements in which the at least one surgical tool is located substantially in at least one of the n 3D spatial positions, and the allowed movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the most used tool function is configured to define (either real-time, during the procedure or prior to the procedure) which tool is the most used tool (i.e., the tool which is moved the most during the procedure) and to instruct the maneuvering subsystem to constantly position the endoscope to track the movement of this tool.
- the most used tool rule comprises a communicable database counting the number of movements of each of the surgical tools; the most used tool rule is configured to constantly position the endoscope to track the movement of the surgical tool with the largest number of movements.
- the communicable database measures the amount of movement of each of the surgical tools; the most used tool rule is configured to constantly position the endoscope to track the movement of the surgical tool with the largest amount of movement.
- the system is configured to alert the physician of a restricted movement of at least one surgical tool.
- the alert can be audio signaling, voice signaling, light signaling, flashing signaling and any combination thereof.
- an allowed movement is one permitted by the controller and a restricted movement is one denied by the controller.
- the operator input rule is configured to receive an input from an operator of the system regarding allowed and restricted movements of the at least one surgical tool.
- the operator input rule receives instructions from the physician as to what can be regarded as allowed movements and what are restricted movements.
- the operator input rule is configured to convert an allowed movement to a restricted movement and a restricted movement to an allowed movement.
- the history-based rule is configured to determine the allowed and restricted movements according to historical movements of the at least one surgical tool in at least one previous surgery.
- the history-based rule comprises a communicable database storing each 3D spatial position of each of the surgical tools, such that each movement of each surgical tool is stored; the history-based rule is configured to determine allowed and restricted movements according to historical movements of the at least one surgical tool, such that the allowed movements are movements in which the at least one surgical tool is located substantially in at least one of the 3D spatial positions, and the restricted movements are movements in which the location of the at least one surgical tool is substantially different from the n 3D spatial positions.
- the tool-dependent allowed and restricted movements rule is configured to determine allowed and restricted movements according to predetermined characteristics of the surgical tool, where the predetermined characteristics of the surgical tool are selected from a group consisting of: physical dimensions, structure, weight, sharpness, and any combination thereof.
- the tool-dependent allowed and restricted movements rule comprises a communicable database; the communicable database is configured to store predetermined characteristics of at least one of the surgical tools; the tool-dependent allowed and restricted movements rule is configured to determine allowed and restricted movements according to the predetermined characteristics of the surgical tool.
- the predetermined characteristics of the surgical tool are selected from a group consisting of: physical dimensions, structure, weight, sharpness, and any combination thereof.
- the user can define, e.g., the structure of the surgical tool he wishes the endoscope to track.
- the endoscope constantly tracks the surgical tool having said predetermined characteristics as defined by the user.
- the movement detection rule comprises a communicable database comprising the real-time 3D spatial positions of each surgical tool; said movement detection rule is configured to detect movement of at least one surgical tool.
- allowed movements are movements in which the endoscope is re-directed to focus on the moving surgical tool.
- the go-to rule is configured to receive an input from an operator of the system regarding at least one location within the FOV.
- the maneuvering subsystem then either maneuvers an endoscope until the at least one location is at the center of the FOV, or maneuvers a selected (preferred) tool until a selected portion of the selected tool is at the at least one location.
- the selected portion of the tool can be the tip of the tool, or any location on the selected tool.
- the input can be by means of touching a location in an image, pointing at a location in an image, entering an identifier of a location via a keyboard or any other means known in the art to indicate a location within a field of view.
- the location in the image can be the desired location itself, of it can be an identifier of a location.
- a display can comprise at least one identifier for at least one item in the field of view.
- the display can comprise a list of organs; by touching the name of an organ, a central point on the organ is selected and the system then places the center of the FOV on the center of the organ.
- the system further comprises a maneuvering subsystem communicable with the controller.
- the maneuvering subsystem is configured to spatially reposition the at least one surgical tool during a surgery according to the predetermined set of rules.
- the at least one location estimating means is at least one endoscope configured to acquire real-time images of a surgical environment within the human body for the estimation of the location of at least one surgical tool.
- the location estimating means comprise at least one selected from a group consisting of optical imaging means, radio frequency transmitting and receiving means, at least one mark on at least one surgical tool and any combination thereof.
- the at least one location estimating means is an interface subsystem between a surgeon and at least one surgical tool, the interface subsystem comprising (a) at least one array comprising N regular light sources or N pattern light sources, where N is a positive integer; (b) at least one array comprising M cameras, where M is a positive integer; (c) optional optical markers and means for attaching the optical markers to at least one surgical tool; and (d) a computerized algorithm operable via the controller, the computerized algorithm configured to record images received by each camera of each of the M cameras and to calculate therefrom the position of each of the tools, and further configured to provide automatically the results of the calculation to the human operator of the interface.
- the present invention can be also utilized to improve the interface between the operators (e.g., the surgeon, the operating medical assistant, the surgeon's colleagues, etc.). Moreover, the present invention can be also utilized to control and/or direct an automated maneuvering subsystem to focus the endoscope on an instrument selected by the surgeon, or to any other region of interest. This can be performed in order to estimate the location of at least one surgical tool during a surgical procedure.
- operators e.g., the surgeon, the operating medical assistant, the surgeon's colleagues, etc.
- an automated maneuvering subsystem to focus the endoscope on an instrument selected by the surgeon, or to any other region of interest. This can be performed in order to estimate the location of at least one surgical tool during a surgical procedure.
- the present invention also discloses a surgical tracking system which is configured to guide and relocate an endoscope to a predetermined region of interest in an automatic and/or a semi-automatic manner. This operation is assisted by an image processing algorithm(s) which is configured to analyze the received data from the endoscope in real time, and to assess the surgical environment of the endoscope.
- the system comprises a “smart” tracking subsystem, which receives instructions from a maneuvering function ⁇ (t) (t is the time) as to where to direct the endoscope and which instructs the maneuvering subsystem to relocate the endoscope to the required area.
- the maneuvering function ⁇ (t) receives, as input, output from at least two instructing functions g i (t), analyses their output and provides instruction to the “smart” tracking system (which eventually re-directs the endoscope).
- each instructing function g i (t) is also given a weighting function, ⁇ i (t).
- the instructing functions g i (t) of the present invention are functions which are configured to assess the environment of the endoscope and the surgery, and to output data which guides the tracking subsystem for controlling the spatial position of the maneuvering subsystem and the endoscope.
- the instructing functions g i (t) can be selected from a group consisting of:
- the maneuvering function ⁇ (t) receives input from two instructing functions: the collision detection function g 4 (t) (the function providing information whether the distance between two elements is smaller than a predetermined distance) and from the most used tool function g 8 (t) (the function counts the number of times each tool is moved during a surgical procedure and provides information as to whether the most moved or most used tool is currently moving).
- the output given from the collision detection function g 4 (t) is that a surgical tool is dangerously close to an organ in the surgical environment.
- the output given from the most used tool function g 8 (t) is that the tool identified statistically as the most moved tool is currently moving.
- the maneuvering function ⁇ (t) then assigns each of the instructing functions with weighting functions ⁇ i (t). For example, the most used tool function g 8 (t) is assigned with a greater weight than the weight assigned to the collision detection function g 4 (t).
- the same After the maneuvering function ⁇ (t) analyses the information received from the instructing functions g i (t) and the weighting functions ⁇ i (t) of each, the same outputs instructions to the maneuvering subsystem to re-direct the endoscope (either to focus on the moving tool or on the tool approaching dangerously close to the organ).
- the identification is provided by conventional means known to any skilled in the art (e.g., image processing, optical means etc.).
- the surgical tracking subsystem comprises:
- the tracking subsystem comprises a data processor.
- the data processor is configured to perform real-time image processing of the surgical environment and to instruct the maneuvering subsystem to modify the spatial position of the endoscope according to input received from a maneuvering function ⁇ (t);
- the maneuvering function ⁇ (t) is configured to (a) receive input from at least two instructing functions g i (t), where i is 1, . . . , n and n ⁇ 2 and where t is time; i and n are integers; and (b) to output instructions to the maneuvering subsystem based on the input from the at least two instructing functions g i (t), so as to spatially position the endoscope to the region of interest.
- the tool detection function g 1 (t) is configured to detect tools in the surgical environment.
- the tool detection function is configured to detect surgical tools in the surgical environment and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the detected surgical tools.
- the functions g i (t) can rank the different detected areas in the surgical environment according to a ranking scale (e.g., from 1 to 10) in which prohibited areas (i.e., areas which are defined as area to which the surgical tools are forbidden to enter) receive the lowest score (e.g., 1) and preferred areas (i.e., areas which are defined as area in which the surgical tools should be maintained) receive the highest score (e.g., 10).
- a ranking scale e.g., from 1 to 10
- prohibited areas i.e., areas which are defined as area to which the surgical tools are forbidden to enter
- preferred areas i.e., areas which are defined as area in which the surgical tools should be maintained
- one function g 1 (t) is configured to detect tools in the surgical environment and inform the maneuvering function ⁇ (t) if they are in preferred areas or in prohibited areas.
- the movement detection function g 2 (t) comprises a communicable database comprising the real-time 3D spatial positions of each of the surgical tools in the surgical environment; means to detect movement of the at least one surgical tool when a change in the 3D spatial positions is received, and means to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the moved surgical tool.
- the organ detection function g 3 (t) is configured to detect physiological organs in the surgical environment and to classify the detected organs as prohibited areas or preferred areas. For example, if the operator instructs the system that the specific surgery is kidney surgery, the organ detection function g 3 (t) will classify the kidneys (or one kidney, if the surgery is specified to be on a single kidney) as a preferred area and other organs will be classified as prohibited areas.
- the organ detection function is configured to detect organs in the surgical environment and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the detected organs.
- the right tool function is configured to detect surgical tool positioned to right of the endoscope and to output instructions to the tracking subsystem to instruct the maneuvering system to constantly direct the endoscope on the right tool and to track the right tool.
- the left tool function is configured to detect surgical tool positioned to left of the endoscope and to output instructions to the tracking subsystem to instruct the maneuvering system to constantly direct the endoscope on the left tool and to track the left tool.
- the collision detection function g 4 (t) is configured to detect prohibited areas within the surgical environment so as to prevent collisions between the endoscope and the prohibited areas. For example, if the endoscope is located in a narrow area in which a precise movement of the same is preferred, the collision detection function g 4 (t) will detect and classify different areas (e.g., nerves, veins, walls of organs) as prohibited areas.
- areas e.g., nerves, veins, walls of organs
- the collision prevention function is configured to define a predetermined distance between the at least one surgical tool and an anatomical element within the surgical environment; and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the surgical tool and the anatomical element within the surgical environment if the distance between the at least one surgical tool and an anatomical element is less than the predetermined distance.
- the anatomical element is selected from a group consisting of tissue, organ, another surgical tool and any combination thereof.
- the operator input function g 5 (t) is configured to receive an input from the operator.
- the input can be, for example: an input regarding prohibited areas in the surgical environment, an input regarding allowed areas in the surgical environment, an input regarding a region of interest, an input regarding a go-to location, and any combination thereof.
- the operator input function g 5 (t) can receive instructions from the operator before or during the surgery, and respond accordingly.
- the operator input function can further comprise a selection algorithm for selection of areas selected from a group consisting of: prohibited areas, allowed areas, regions of interest, and any combination thereof. The selection can be performed via an input device (e.g., a touch screen), via gesture recognition, via keyboard input, and any combination thereof.
- the operator input function g 5 (t) comprises a communicable database; the communicable database is adapted to receive an input from the operator of the system; the input comprising n 3D spatial positions; n is an integer greater than or equal to 2; and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the at least one 3D spatial position received.
- the prediction function g 6 (t) is configured to provide data regarding a surgical environment at a time t f >t 0 , wherein to is the present time and t f is a future time.
- the prediction function g 6 (t) can communicate with a database which stores data regarding the environment of the surgery (e.g., the organs in the environment). This data can be used by the prediction function g 6 (t) for the prediction of expected or unexpected events or expected or unexpected objects during the operation.
- the prediction function g 6 (t) comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the prediction function is configured to (a) to predict the future 3D spatial position of each of the surgical tools (or each object); and, (b) to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the future 3D spatial position.
- the past statistical analysis function g 7 (t) is configured to provide data regarding the surgical environment or the laparoscopic surgery based on past statistical data stored in a database.
- the data regarding the surgical environment can be for example: data regarding prohibited areas, data regarding allowed areas, data regarding the region of interest and any combination thereof.
- the past statistical analysis function g 7 (t) comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the past statistical analysis function g 7 (t) is configured to (a) perform statistical analysis on the 3D spatial positions of each of the surgical tools in the past; and, (b) to predict the future 3D spatial position of each of the surgical tools; and, (c) to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the future 3D spatial position.
- the past movements of each tool are analyzed and, according to this analysis, a prediction of the tool's next move is provided.
- the most used tool function g 8 (t) comprises a communicable database counting the amount of movement of each surgical tool located within the surgical environment; the most used tool function is configured to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to constantly position the endoscope to track the movement of the most moved surgical tool.
- the amount of movement of a tool can be defined as the total number of movements of that tool or the total distance the tool has moved.
- the right tool function g 9 (t) is configured to detect at least one surgical tool in a specified position in relation to the endoscope, preferably positioned to right of the endoscope and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to constantly direct the endoscope to the right tool and to track the same.
- the right tool is defined as the tool positioned to the right of the endoscope; according to other embodiments, any tool can be defined as the right tool.
- the left tool function g 10 (t) is configured to detect at least one surgical tool in a specified position in relation to the endoscope, preferably positioned to left of the endoscope and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to constantly direct the endoscope to the left tool and to track the same.
- the left tool is defined as the tool positioned to the left of the endoscope; according to other embodiments, any tool can be defined as the left tool.
- the field of view function g 11 (t) comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view function is configured to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to at least one 3D spatial position substantially within the n 3D spatial positions so as to maintain a constant field of view.
- the preferred volume zone function g 12 (t) comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2;
- the n 3D spatial positions provide the preferred volume zone;
- the preferred volume zone function g 12 (t) is configured to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to at least one 3D spatial position substantially within the preferred volume zone.
- the no fly zone function g 13 (t) comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone function g 13 (t) is configured to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to at least one 3D spatial position substantially different from all the n 3D spatial positions.
- the proximity function g 14 (t) is configured to define a predetermined distance between at least two surgical tools; and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the two surgical tools if the distance between the two surgical tools is less than or if it is greater than the predetermined distance.
- the proximity function g 14 (t) is configured to define a predetermined angle between at least three surgical tools; and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the three surgical tools if the angle between the two surgical tools is less than or if it is greater than the predetermined angle.
- the preferred volume zone function comprises communicable database comprising n 3D spatial positions; n is an integer greater than or equals to 2; the n 3D spatial positions provides the preferred volume zone; the preferred volume zone function is adapted to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the preferred volume zone.
- the field of view function comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equals to 2; the combination of all of the n 3D spatial positions provides a predetermined field of view; the field of view function is adapted to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to at least one 3D spatial position substantially within the n 3D spatial positions so as to maintain a constant field of view.
- the no fly zone function comprises a communicable database comprising n 3D spatial positions; n is an integer greater than or equals to 2; the n 3D spatial positions define a predetermined volume within the surgical environment; the no fly zone function is adapted to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to at least one 3D spatial position substantially different from all the n 3D spatial positions.
- the most used tool function comprises a communicable database counting the amount of movement of each surgical tool located within the surgical environment; the most used tool function is adapted to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to constantly position the endoscope to track the movement of the most moved surgical tool.
- the prediction function g 6 (t) is adapted to provide data regarding a surgical environment in a time t f >t, wherein t is the present time and t f is the future time.
- the prediction function g 6 (t) may communicate with a database which stores data regarding the environment of the surgery (e.g., the organs in the environment). This data may be used by the prediction function g 6 (t) for the prediction of expected or unexpected events or object during the operation.
- the prediction function comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the prediction function is adapted to (a) to predict the future 3D spatial position of each of the surgical tools; and, (b) to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the future 3D spatial position.
- the past statistical analysis function g 7 (t) is adapted to provide data regarding the surgical environment or the laparoscopic surgery based on past statistical data stored in a database.
- the data regarding the surgical environment may be for example: data regarding prohibited areas, data regarding allowed areas, data regarding the region of interest.
- the past statistical analysis function comprises a communicable database storing each 3D spatial position of each of surgical tool within the surgical environment, such that each movement of each surgical tool is stored; the past statistical analysis function is adapted to (a) statistical analyze the 3D spatial positions of each of the surgical tools in the past; and, (b) to predict the future 3D spatial position of each of the surgical tools; and, (c) to output instructions to the tracking subsystem to instruct the maneuvering system to direct the endoscope to the future 3D spatial position.
- the past statistical analysis function g 7 (t) the past movements of each tool are analyzed and according to this analysis a future prediction of the tool's next move is provided.
- preferred tool function comprises a communicable database, the database stores a preferred tool; the preferred tool function is adapted to output instructions to the tracking subsystem to instruct the maneuvering system to constantly direct the endoscope to the preferred tool, such that said endoscope constantly tracks said preferred tool.
- the endoscope constantly tracks the preferred tool, such that the field of view, as seen from the endoscope, is constantly maintained on said preferred tool.
- the user may define in said preferred tool function to constantly tack the tip of said preferred tool or alternatively, the user may define in said preferred tool function to constantly track the body or any location on the preferred tool.
- the tagged tool function g 15 (t) comprises means configured to tag at least one surgical tool within the surgical environment and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to constantly direct the endoscope to the tagged surgical tool.
- the endoscope constantly tracks the preferred (i.e., tagged) tool, such that the field of view, as seen from the endoscope, is constantly maintained on said preferred (tagged) tool.
- the user can define in said tagged tool function to constantly track the tip of said preferred (tagged) tool or alternatively, the user can define in said tagged tool function to constantly track the body or any location on the preferred (tagged) tool.
- the means are configured to constantly tag the at least one of surgical tool within the surgical environment.
- the preferred tool function g 16 (t) comprises a communicable database.
- the database stores a preferred tool; the preferred tool function is configured to output instructions to the tracking subsystem to instruct the maneuvering system to constantly direct the endoscope to the preferred tool, such that said endoscope constantly tracks said preferred tool.
- the endoscope constantly tracks the preferred tool, such that the field of view, as seen from the endoscope, is constantly maintained on said preferred tool.
- the user can define in said preferred tool function g 16 (t) to constantly track the tip of said preferred tool or alternatively, the user can define in said preferred tool function g 16 (t) to constantly track the body or any location on the preferred tool.
- the system further comprises means configured to re-tag the at least one of the surgical tools until a desired tool is selected.
- the system further comprises means configured to toggle the surgical tools. According to some embodiments, the toggling is performed manually or automatically.
- the go-to function g 17 (t) comprises a communicable database; the communicable database is configured to receive an input from the operator of the system; the input comprising n 3D spatial positions; n is an integer greater than or equal to 1; and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the endoscope to the at least one 3D spatial position received.
- the go-to function g 17 (t) comprises a communicable database; the communicable database is configured to receive an input from the operator of the system; the input comprising n 3D spatial positions; n is an integer greater than or equal to 1.
- the go-to function g 17 (t) further comprises means configured to tag at least one surgical tool within the surgical environment and to output instructions to the tracking subsystem to instruct the maneuvering subsystem to direct the tagged surgical tool to at least one of the n 3D spatial positions.
- the weighting functions ⁇ i (t) are time-varying functions (or constants), the value of which is determined by the operator or the output of the instructing functions g i (t). For example, if a specific function g i (t) detected an important event or object, its weighting functions ⁇ i (t) can be adjusted in order to elevate the chances that the maneuvering function ⁇ (t) will instruct the maneuvering subsystem to move the endoscope towards this important event or object.
- the tracking subsystem can implement various image processing algorithms which can also be algorithms that are well known in the art.
- the image processing algorithms can be for example: image stabilization algorithms, image improvement algorithms, image compilation algorithms, image enhancement algorithms, image detection algorithms, image classification algorithms, image correlations with the cardiac cycle or the respiratory cycle of the human body, smoke reduction algorithms, vapor reduction algorithms, steam reduction algorithms and any combination thereof.
- Smoke, vapor and steam reduction algorithms can be needed as it is known that, under certain conditions, smoke, vapor or steam can be emitted by or from the endoscope.
- the image processing algorithm can also be implemented and used to analyze 2D or 3D representations which can be rendered from the real-time images of the surgical environment.
- the endoscope can comprise an image acquisition device selected from a group consisting of: a camera, a video camera, an electromagnetic sensor, a computer tomography imaging device, a fluoroscopic imaging device, an ultrasound imaging device, and any combination thereof.
- the system can also comprise a display configured to provide input or output to the operator regarding the operation of the system.
- the display can be used to output the acquired real-time images of a surgical environment with augmented reality elements.
- the display can also be used for the definition of the region of interest by the operator.
- the endoscope can be controlled be an endoscope controller for performing operations such as: acquiring the real-time images and zooming-in to a predetermined area.
- the endoscope controller can cause the endoscope to acquire the real-time images in correlation with the cardiac cycle or the respiratory cycle of a human body.
- the data processor of the present invention can operate a pattern recognition algorithm for assisting the operation of the instructing functions g (t).
- the pattern recognition algorithm can be used as part of the image processing algorithm.
- the identification is provided by conventional means known to any skilled in the art (e.g., image processing, optical means etc.).
- the present invention further discloses a method for assisting an operator to perform a surgical procedure, comprising steps of:
- the present invention also discloses a method for assisting an operator to perform laparoscopic surgery on a human body.
- the method comprises steps of:
- the identification is provided by conventional means known to any skilled in the art (e.g., image processing, optical means etc.).
- the present invention further discloses a surgical controlling system, comprising:
- each element in the surgical environment is characterized.
- the characteristics are constantly monitored. If the characteristics change substantially, the system notifies the user.
- the element that is monitored could be an organ and the characteristic being monitored is its contours. Once the contours have significantly changed (which could imply that the organ has been e.g., carved) the system alerts the user.
- the identification is provided by conventional means known to any skilled in the art (e.g., image processing, optical means etc.).
- the predetermined characteristics are selected from a group consisting of: color of the element, 3D spatial location of the element, contours of the element, and any combination thereof.
- the system additionally comprises at least one surgical tool configured to be inserted into a surgical environment of a human body for assisting a surgical procedure.
- the system additionally comprises at least one location estimating means configured to estimate the location of the at least one surgical tool.
- the system additionally comprises a controller having a processing means communicable with a database, the controller configured to control the spatial position of the at least one surgical tool.
- the present invention further provides a method for controlling surgery, comprising steps of:
- the predetermined characteristics are selected from a group consisting of: color of the element, 3D spatial location of the element, contours of the element and any combination thereof.
- the method additionally comprises a step of providing at least one surgical tool configured to be inserted into a surgical environment of a human body for assisting a surgical procedure.
- the method additionally comprises a step of providing at least one location estimating means configured to estimate the location of the at least one surgical tool.
- the method additionally comprises a step of providing a controller having a processing means communicable with a database, the controller configured to control the spatial position of the at least one surgical tool.
- the system of the present invention additionally comprises an image processing unit.
- the image processing unit is configured to reduce ‘noise’ from the received image by reducing the visibility in the image of the smoke caused by e.g., coagulation.
- the image processing unit is configured to reduce ‘noise’ from the received image by reducing the visibility in the image of vapor or steam accumulated on the endoscope.
- the right tool function is configured to instruct the maneuvering subsystem to constantly position the endoscope to track the movement of the right tool (i.e., the tool positioned to the right of the endoscope).
- the left tool function is configured to instruct the maneuvering subsystem to constantly position the endoscope to track the movement of the left tool (i.e., the tool positioned to the left of the endoscope).
- the field of view function is configured to instruct the maneuvering subsystem to constantly position the endoscope so as to maintain a constant field of view.
- the no fly zone function is configured to define (either real-time, during the procedure or prior to the procedure) a no fly zone and to instruct the maneuvering subsystem to restrict entrance of the endoscope to the no fly zone.
- the most used tool function is configured to define (either real-time, during the procedure or prior to the procedure) which tool is the most used tool (i.e., the tool which is moved the most during the procedure) and to instruct the maneuvering subsystem to constantly position the endoscope to track the movement of the most-used tool.
- FIG. 1 is a general schematic view of a specific embodiment of a surgical tracking system 100 .
- surgical instruments 17 b and 17 c and an endoscope 21 which can be maneuvered by means of maneuvering subsystem 19 according to the instructions received from a tracking subsystem operable by computer 15 .
- the user can define the field of view function as constantly monitoring at least one of surgical instruments 17 b and 17 c.
- the surgical tracking system 100 can also comprise one or more button operated wireless transmitters 12 a , which transmit, upon activation, a single code wave 14 through aerial 13 to connected receiver 11 that produces a signal processed by computer 15 , thereby directing and modifying the spatial position of endoscope 21 to the region of interest, as defined by the field of view function.
- the system alerts the user that any movement of either one of the surgical instruments 17 b and 17 c that will reduce the distance is a restricted movement.
- FIG. 2 schematically illustrates the operation of the present invention.
- the system of the present invention comprises a display 30 in which the overall procedure is presented to the operator.
- an endoscope is automatically spatially repositioned towards a region of interest 38 .
- the region of interest to which the endoscope is repositioned comprises tools 37 b and 37 c , which are automatically detected by the tracking subsystem (not shown) of computer 15 .
- the repositioning of the endoscope can be automatic or semi-automatic.
- a light depression of the button on generic code-emitting wireless transmitter 12 a causes transmission of a code that is received by receiver aerial 13 communicated through connected receiver 11 to computer 15 .
- This operation causes the endoscope of the present invention to be spatially repositioned to the predefined region of interest (e.g., the location in which the working tools are located).
- the operator can define the region of interest as the region in which a tip 35 b of tool 37 b is found.
- the operator can define one of the surgical instruments 17 b and 17 c as a preferred tool.
- the endoscope will constantly monitor and track the body of the selected tool.
- the user can define the preferred tool rule to constantly reposition the endoscope on the tip of the same (see tip 35 b in FIG. 2 ).
- the button can be coupled to the desired tool to be monitored, such that the endoscope will monitor the tool to which the button is coupled (and from which signal 12 a is emitted).
- the tracking subsystem is configured to look for tip 35 b within the region of interest by performing image processing.
- the system can move the endoscope in a forward direction along a predefined track.
- the endoscope automatically focuses of the region of interest.
- the tools can be equipped with switches. If the switches emit wireless signals, then an array of antennas can be used to compare the power of the signal received at each antenna in order to determine the angle of the switch and its approximate range to the camera holder mechanism. If the switch emits ultrasound then ultrasound-sensitive microphones can be used to triangulate the position of the switch. The same is true for a light-emitting switch.
- a single wireless emission code is utilized and choice is achieved by a visible graphic representation on a conventional viewing screen.
- each instrument is fitted with a unique code wireless transmitter, and selection is achieved by depressing its button.
- the tracking subsystem of the present invention can be used in any conventional camera-assisted laparoscopic surgery system which comprises an endoscope.
- a generic or a unique code is transmitted to a receiving device connected to a computer that instructs the maneuvering subsystem to reposition the endoscope to a region of interest.
- the system of the present invention can be used to allow an operator (e.g., a surgeon) to present the surgical instrument to surgical colleagues and staff.
- an operator e.g., a surgeon
- the endoscope directs the view to the predefined region of interest.
- the tracking subsystem can identify a surgical tool after characterization of the same prior to the surgery.
- the characteristics of the surgical tool can be stored in a database for further use in the image processing algorithm.
- the tracking subsystem can instruct the maneuvering subsystem to move the endoscope so as to achieve the desired focus on a specific region of interest.
- the device of the present invention has many technological advantages, among them:
- the system of the present invention comprises a maneuvering subsystem.
- Many maneuvering systems are known in the art and many of them have several degrees of freedom:
- Such maneuvering systems are utilized by the present invention so as to reposition the endoscope to the desired location.
- the present invention is utilized to improve upon the interface between surgeon and automated assistants by communicating the surgeon's current instrument of choice, supplying location data to the image processing computing software, thereby directing the endoscope to focus on that choice.
- the technology relies on marrying a conventional laparoscopic system with data obtained from e.g., small RF transmitters attached to a surgical tool or, alternatively, data obtained from light emitters (e.g., LED bulbs) attached to a surgical tool.
- FIG. 2 a shows an example of using the system of the present invention in abdominal laparoscopic surgery.
- FIG. 2 b shows an example of using the system of the present invention in knee endoscopic surgery.
- FIG. 2 c shows an example of using the system of the present invention in shoulder endoscopic surgery.
- Example 1 Tracking System with Collision Avoidance System
- Gd 2 Organ (e.g. Liver) detection function e.g.
- Locations Gd 1 ( t ) and Gd 2 ( t ) are calculated in real time at each time step (from an image or location marker).
- Tool movement vector Gd 3 ( t ) is calculated from Gd 1 ( t ) as the difference between the current location and at least one previous location (probably also taking into account previous movement vectors).
- FIG. 3 which shows, in a non-limiting manner, an embodiment of a tracking system and collision avoidance system.
- the system tracks a tool 310 and the liver 320 , in order to determine whether a collision between the tool 310 and the liver 320 is possible within the next time step.
- FIGS. 3 a and 3 b show how the behavior of the system depends on the distance 330 between the tool 310 and the liver 320
- FIGS. 3 c and 3 d show how movement of the tool 310 affects the behavior.
- the distance 330 between the tool 310 and the liver 320 is large enough that a collision is not possible in that time step. Since no collision is possible, no movement of the tool is commanded.
- FIG. 3 a shows, in a non-limiting manner, an embodiment of a tracking system and collision avoidance system.
- the distance 330 between the tool 310 and the liver 320 is small enough that a collision is likely.
- a movement 340 is commanded to move the tool 310 away from the liver 320 .
- the system prevents movement 350 , but does not command movement 340 ; in such embodiments, the tool 310 will remain close to the liver 320 .
- the system warns/signals the operator that the move is restricted, but does not restrict movement 350 or command movement 340 away from the liver. Such a warning/signaling can be visual or aural, using any of the methods known in the art.
- FIGS. 3 c and 3 d illustrate schematically the effect of the movement of tool 310 on the collision avoidance system.
- the tool 310 is close enough to the liver 320 that a collision between the two is possible. If the system tracked only the positions of the tool 310 and the liver 320 , then motion of the tool 310 away from the liver 320 would be commanded.
- FIG. 3 c illustrates the effect of a movement 350 that would increase the distance between tool 310 and liver 320 . Since the movement 350 is away from liver 320 , no collision is possible in this time step and no movement of the tool 310 is commanded.
- tool 310 is the same distance from liver 320 as in FIG. 3 c .
- the movement 350 of the tool 310 is toward the liver 320 , making a collision between tool 310 and liver 320 possible.
- a movement 340 is commanded to move the tool 310 away from the liver 320 .
- the system prevents movement 350 , but does not command movement 340 ; in this embodiment the tool 310 will remain close to the liver 320 .
- the system warns the operator that move is restricted, but does not restrict movement 350 or command movement 340 away from the liver. Such a warning can be visual or aural, using any of the methods known in the art.
- the collision detection function can warn the operator that a collision between a tool and the liver is likely but not prevent the collision.
- the collision detection function can prevent a collision between the tool and the liver, either by preventing the movement or by commanding a movement redirecting the tool away from the liver,
- Example 2 Tracking System with Soft Control—Fast Movement when nothing is Nearby, Slow Movement when Something is Close
- Gd-organ 2 -L Organic (e.g. Liver) detection function
- Main Tool Movement Vector Gd 3 ( t ) is calculated per GdM(t) as the difference between the current location and at least one previous location (probably also taking into account previous movement vectors).
- ⁇ 2 (t) log (Gd 4 /maximum(Gd 4 )) where maximum(Gd 4 ) is the maximum distance which is likely to result in a collision given the distances, the speed of the tool and the movement vector.
- FIG. 4 which shows, in a non-limiting manner, an embodiment of a tracking system with no-fly rule.
- the system tracks a tool 310 with respect to a no-fly zone ( 460 ), in order to determine whether the tool will enter the no-fly zone ( 460 ) within the next time step.
- the no-fly zone 460 surrounds the liver.
- the tool 310 is outside the no-fly zone rule/function 460 and no movement of the tool is commanded.
- the tool 310 is inside the no-fly zone 460 .
- the no-fly zone rule/function performs as follows:
- a movement 350 is commanded to move the tool 310 away from the no-fly zone 460 .
- the system prevents movement further into the no-fly zone (refers as movement 340 , see FIG. 4 c ), but does not command movement 340 ; in such embodiments, the tool 310 will remain close to the no-fly zone 460 .
- the system warns/signals the operator that the move is restricted, but does not restrict movement further into the no-fly zone or command movement 340 away from the no-fly zone 460 .
- a warning/signaling can be visual or aural, using any of the methods known in the art.
- FIGS. 4 c and 4 d illustrate schematically the effect of the tool's movement on operation of the no-fly zone rule/function.
- the tool 310 is close enough to the no-fly zone 460 (distance 330 is small enough) that it is possible for the tool to enter the no-fly zone during the next time step.
- FIG. 4 c illustrates the effect of a movement 340 that would increase the distance between tool 310 and no-fly zone 460 . Since the movement 340 is away from no-fly zone 460 , no collision is possible in this time step and no movement of the tool 310 is commanded.
- tool 310 is the same distance from no-fly zone 460 as in FIG. 4 c .
- the movement 340 of the tool is toward no-fly zone 460 , making it possible for tool 310 to enter no-fly zone 460 .
- a movement 350 is commanded to move the tool 310 away from the no-fly zone 460 .
- the system prevents movement 340 , but does not command movement 350 ; in such embodiments, the tool 310 will remain close to the no-fly zone 460 .
- the system warns/signals the operator that the move is restricted, but does not restrict movement 340 or command movement 350 away from the no-fly zone rule/function 460 .
- a warning/signaling can be visual or aural, using any of the methods known in the art.
- FIG. 5 which shows, in a non-limiting manner, an embodiment of a tracking system with a preferred volume zone function/rule.
- the system tracks a tool 310 with respect to a preferred volume zone ( 570 ), in order to determine whether the tool will leave the preferred volume ( 570 ) within the next time step.
- the preferred volume zone 570 extends over the right lobe of the liver.
- FIGS. 5 a and 5 b show how the behavior of the system depends on the location of the tool tip with respect to the preferred volume zone 570
- FIGS. 5 c and 5 d show how movement of the tool affects the behavior (i.e., the preferred volume zone rule/function).
- the tool 310 is inside the preferred volume zone 570 and no movement of the tool is commanded.
- the tool 310 is outside the preferred volume zone 570 .
- a movement 340 is commanded to move the tool 310 away from the preferred volume zone 570 .
- the system prevents movement 340 ; in such embodiments, the tool 310 will remain close to the preferred volume zone 570 .
- the system warns/signals the operator that the move 340 is restricted. Such a warning/signaling can be visual or aural, using any of the methods known in the art.
- FIGS. 5 c and 5 d illustrate schematically the effect of the tool's movement on operation of the preferred volume rule/function.
- the tool 310 is close enough to the edge of preferred volume zone 570 that it is possible for the tool to leave the preferred volume zone during the next time step.
- FIG. 5 c illustrates the effect of a movement 350 that would take the tool 310 deeper into preferred volume zone 570 . Since the movement 350 is into preferred volume 570 , said movement is an allowed movement.
- a movement 340 is commanded to move the tool 310 into the preferred volume zone 570 .
- the system prevents movement 350 , but does not command movement 340 ; in such embodiments, the tool 310 will remain close to the preferred volume zone 570 .
- the system warns/signals the operator that the move is restricted, but does not restrict movement 350 or command movement 340 away from the preferred volume zone 570 .
- Such a warning/signaling can be visual or aural, using any of the methods known in the art.
- FIG. 6 shows, in a non-limiting manner, an embodiment of an organ detection system (however, it should be noted that the same is provided for detection of tools, instead of organs).
- the 3D spatial positions of the organs stored in a database For each organ, the 3D spatial positions of the organs stored in a database.
- the perimeter of each organ is marked, to indicate the edge of the volume of 3D spatial locations stored in the database.
- the liver 610 is labeled with a dashed line.
- the stomach 620 is labeled with a long-dashed line, the intestine 630 with a solid line and the gall bladder 640 is labeled with a dotted line.
- a label or tag visible to the operator is also presented. Any method of displaying identifying markers known in the art can be used.
- colored or patterned markers can indicate the locations of the organs, with the marker either indicating the perimeter of the organ or the area of the display in which it appears.
- FIG. 7 which shows, in a non-limiting manner, an embodiment of a tool detection function.
- the 3D spatial positions of the tools stored in a database For each tool, the 3D spatial positions of the tools stored in a database.
- the perimeter of each tool is marked, to indicate the edge of the volume of 3D spatial locations stored in the database.
- the left tool is labeled with a dashed line while the right tool is labeled with a dotted line.
- a label or tag visible to the operator is also presented. Any method of displaying identifying markers known in the art can be used.
- colored or patterned markers can indicate the locations of the tools, with the marker either indicating the perimeter of the tool or the area of the display in which it appears.
- FIG. 8 which shows, in a non-limiting manner, an embodiment of a movement detection function/rule.
- FIG. 8 a schematically illustrates a liver 810 , a left tool 820 and a right tool 830 at a time t.
- FIG. 8 b schematically illustrates the liver 810 , left tool 820 and right tool 830 at a later time t+ ⁇ t, where ⁇ t is a small time interval.
- the left tool 820 has moved downward (towards the direction of liver 810 ) in the time interval ⁇ t.
- the system has detected movement of left tool 820 and labels it. This is illustrated schematically in FIG. 8 b by a dashed line around left tool 820 .
- FIG. 9 shows, in a non-limiting manner, an embodiment of the above discussed prediction function.
- FIG. 9 a shows a left tool 920 and a right tool 930 at a time t.
- FIG. 9 b shows the same tools at a later time t+ ⁇ t, where ⁇ t is a small time interval.
- Left tool 920 is moving to the right and downward, while right tool 930 is moving to the left and upward. If the motion continues (shown by the dashed line in FIG. 9 c ), then by the end of the next time interval, in other words, at some time between time t+ ⁇ t and time t+2 ⁇ t, the tools will collide, as shown by tool tips within the dotted circle 950 in FIG. 9 c.
- the system automatically prevents predicted collisions and, in this example, the system applies a motion 940 to redirect left tool 920 so as to prevent the collision.
- the system warns/signals the operator that a collision is likely to occur, but does not alter the movement of any tool.
- a warning/signaling can be visual or aural, using any of the methods known in the art.
- the prediction function can be enabled to, for non-limiting example, alter the field of view to follow the predicted movement of a tool or of an organ, to warn of (or prevent) predicted motion into a no-fly zone, to warn of (or prevent) predicted motion out of a preferred zone.
- FIG. 10 which shows, in a non-limiting manner, an embodiment of a right tool function.
- FIG. 10 schematically illustrates a liver 1010 , a left tool 1020 and a right tool 1030 .
- the right tool illustrated schematically by the dashed line 1040 , is labeled and its 3D spatial location is constantly and real-time stored in a database. Now, according to the right tool function/rule the endoscope constantly tracks the right tool.
- FIG. 11 which shows, in a non-limiting manner, an embodiment of a field of view function/rule.
- FIG. 11 a schematically illustrates a field of view of the abdomen at a time t.
- the liver 1110 In the field of view are the liver 1110 , stomach 1120 , intestines 1130 and gall bladder 1140 .
- the gall bladder is nearly completely visible at the left of the field of view.
- Two tools are also in the field of view, with their tips in proximity with the liver. These are left tool 1150 and right tool 1160 .
- the field of view function/rule tracks left tool 1150 .
- left tool 1150 is moving to the right, as indicated by arrow 1170 .
- FIG. 11 b shows the field of view at time t+ ⁇ t.
- the field of view has moved to the right so that the tip of left tool 1150 is still nearly at the center of the field of view. It can be seen that much less of gall bladder 1140 is visible, while more of right tool 1160 has entered the field of view.
- the field of view function/rule can be set to follow a selected tool, as in this example or to keep a selected organ in the center of the field of view. It can also be set to keep a particular set of tools in the field of view, zooming in or out as necessary to prevent any of the chosen tools from being outside the field of view.
- the field of view function/rule defines n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view.
- Each movement of the endoscope or the surgical tool within said n 3D spatial positions is an allowed movement and any movement of the endoscope or the surgical tool outside said n 3D spatial positions is a restricted movement.
- said the field of view function/rule defines n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view.
- the endoscope is relocated if movement has been detected by said detection means, such that said field of view is maintained.
- Example 11 Tagged Tool Function/Rule (or Alternatively the Preferred Tool Rule
- FIG. 12 which shows, in a non-limiting manner, an embodiment of a tagged tool function/rule.
- FIG. 12 shows three tools ( 1220 , 1230 and 1240 ) in proximity to the organ of interest, in this example, the liver 1210 .
- Tool 1240 The tool most of interest to the surgeon, at this point during the operation, is tool 1240 .
- Tool 1240 has been tagged (dotted line 1250 ); the 3D spatial location of tool 1240 is constantly stored in a database and this spatial location has been labeled as one of interest.
- the system can use this tagging for many purposes, including, but not limited to, keeping tool 1240 in the center of the field of view, predicting its future motion, keeping it from colliding with other tools or keeping other tools from colliding with it, instructing the endoscope to constantly monitor and track said tagged tool 1250 and so on.
- the system tags one of the tools and performs as in the tagged tool rule/function.
- FIG. 13 which shows, in a non-limiting manner, an embodiment of a proximity function/rule.
- FIG. 13 a schematically illustrates two tools ( 1310 and 1320 ) separated by a distance 1330 which is greater than a predefined proximity distance. Since tool 1310 is not within proximity of tool 1320 , the field of view ( 1380 ) does not move.
- FIG. 13 b schematically illustrates two tools ( 1310 and 1320 ) separated by a distance 1330 which is less than a predefined proximity distance.
- the field of view 1380 moves upward, illustrated schematically by arrow 1340 , until the tips of tool 1310 and tool 1320 are in the center of field of view 1380 ( FIG. 13 c ).
- the system alerts the user of said proximity (which might lead to a collision between the two tools). Alternatively, the system moves one of the tools away from the other one.
- FIG. 14 shows, in a non-limiting manner, an embodiment of an operator input function/rule. According to this embodiment, input is received from the operator.
- the input received from the operator is which tool to track.
- FIG. 14 a schematically illustrates an endoscope with field of view 1480 showing a liver 1410 and two tools 1420 and 1430 .
- a wireless transmitter 1460 is enabled to transmit coded instructions through receiver 1470 .
- Operator 1450 first selects the tip of the left tool as the region of interest, causing the system to tag ( 1440 ) the tip of the left tool.
- the system then directs and modifies the spatial position of the endoscope so that the tagged tool tip 1440 is in the center of the field of view 1480 .
- the system will, according to one embodiment, prevent the movement of the surgical tool.
- any movement of said tool in the direction is interpreted as input from the operator to continue the movement of said surgical tool in said direction.
- the operator input function/rule receives input from the operator (i.e., physician) to continue the move of said surgical tool (even though it is “against” the collision prevention rule). Said input is simply in the form of the continued movement of the surgical tool (after the alert of the system or after the movement prevention by the system).
- FIGS. 15A-D which shows, in a non-limiting manner, an embodiment of a tracking system with a constant field of view rule/function.
- the tip lens in the camera optics is not at a right angle to the sides of the endoscope.
- the tip lens angle is described relative to the right angle, so that a tip lens at right angles to the sides of the endoscope is described as having an angle of 0.
- angled endoscope tip lenses have an angle of 30° or 45°. This tip lens angle affects the image seen during zooming.
- FIG. 15 illustrates, in an out-of-scale manner, for a conventional system, the effect of zooming in the field of view in an endoscope with tip lens set straight in the end ( FIGS. 15A and 15B ) vs. the effect of zooming in the field of view in an endoscope with angled tip lens ( FIGS. 15C and 15D ).
- FIGS. 15A and 15C illustrate the endoscope ( 100 ), the object it is viewing ( 200 ) and the image seen by the endoscope camera ( 130 ) before the zoom.
- the solid arrows ( 160 ) show the limits of the FOV and the dashed arrow ( 170 ), the center of the field of view (FOV); since the object is in the center of the FOV, an image of the object ( 210 ) is in the center of the camera image ( 130 ).
- FIGS. 3B and 3D illustrate the endoscope ( 100 ), the object it is viewing ( 200 ) and the image seen by the endoscope camera ( 130 ) after the zoom.
- the solid arrows ( 160 ) show the limits of the FOV and the dashed arrow ( 170 ), the center of the field of view.
- an object ( 200 ) in the center of the field of view will be in the center of the field of view (FOV) (and the camera image) ( 130 ) both before ( FIG. 15A ) and after ( FIG. 15B ) the zoom.
- the tip lens is set at an angle in the end of the endoscope ( FIGS. 15C and 15D )
- an object that is in the center of the FOV (and the camera image) before the zoom ( FIG. 15C ) will not be in the center of the FOV (or the camera image) after the zoom ( FIG. 15D ) since the direction of motion of the endoscope is not the direction in which the center of the field of view ( 170 ) points.
- the controlling means maintains the center of the field of view (FOV) during zoom independent of the tip lens angle.
- FOV field of view
- the endoscope's movement will be adjusted in order to maintain a constant field of view.
- the system can inform the user of any misalignment of the same system.
- Misalignment of the system can cause parasitic movement of the endoscope tip, where the endoscope tip does not move exactly in the expected direction.
- the system comprises sensors (e.g., gyroscopes, accelerometers and any combination thereof) that calculate/estimates the position of the pivot point in real time in order to (a) inform the user of misalignment; or (b) calculate the misalignment so that the system can adjust its movement to prevent parasitic movement.
- sensors e.g., gyroscopes, accelerometers and any combination thereof
- FIG. 16 shows, in a non-limiting manner, an embodiment of a tracking system with a change of speed rule/function.
- the speed of the tip of the endoscope is automatically varied such that, the closer the endoscope tip is to an object, be it a tool, an obstacle, or the object of interest, the more slowly it moves. In this embodiment, as shown in FIG.
- measurements are made of the distance X ( 150 ) from the tip ( 195 ) of the endoscope ( 100 ) to the pivot point of the endoscope ( 190 ), where said pivot point is at or near the surface of the skin ( 1100 ) of a patient ( 1000 ).
- Measurements are also made of the distance Y ( 250 ) from the tip of the endoscope ( 195 ) to the object in the center of the scene of view ( 200 ). From a predetermined velocity V p , the actual velocity of the tip of the endoscope at a given time, V act , is calculated from a predetermined velocity V p .
- the system provides a warning if the speed is above a predetermined maximum.
- the method of warning include, but are not limited to, a constant volume tone, a constant pitch tone, a varying volume tone, a varying pitch tone, a vocal signal, a constant color visual signal, a constant brightness visual signal, a varying color visual signal, a varying brightness visual signal, a signal visible on at least some part of the endoscope image, a signal visible on at least some portion of the patient, a signal visible in at least some portion of the surroundings of the patient, a vibration in the control unit, a temperature change in the control unit, and any combination of the above.
- the velocity of the endoscope's movement will be adjusted as a function of the distance of the endoscope's tip from the organ ⁇ tissue.
- FIG. 17 shows, in a non-limiting manner, an embodiment of a tracking system with a go-to rule/function.
- input is received from an operator of a location and the endoscope is maneuvered to put the location at the center of the FOV.
- FIG. 17 a schematically illustrates an endoscope with field of view having a center 1780 .
- Two tools 1720 and 1730 are visible in the FOV.
- a location 1790 is input to the system.
- a movement 1740 can be commanded to move the center of the FOV from its present position to the location 1790 which was input.
- the system then directs and modifies the spatial position of the endoscope so that the location 1790 is in the center 1780 of the FOV.
- the tools 1720 and 1730 have not been moved.
- FIG. 18 shows, in a non-limiting manner, an embodiment of a tracking system with a go-to rule/function.
- input is received from an operator of a location and a tagged tool is maneuvered to put the tagged tool at the center of the FOV.
- FIG. 18 a schematically illustrates an FOV of an endoscope.
- Two tools 1820 and 1830 are visible in the FOV; the dashed line indicated the tagged tool.
- a location 1890 is input to the system.
- a movement 1840 can be commanded to move the tagged tool 1820 from its present position to the location 1890 which was input.
- the system then directs and modifies the spatial position of the endoscope so that the tip of the tagged tool 1830 is at the location 1890 .
- the tool 1730 has not been moved, nor has the center of the FOV been changed.
Abstract
-
- a. a surgical tool;
- b. a location estimating means configured to real-time locate the 3D spatial position of said at least one surgical tool at any given time t;
- c. a movement detection means communicable with a movement's database and with said location estimating means; said movement's database is configured to store said 3D spatial position of said at least one surgical tool at time tf and at time t0, where tf>t0; said movement detection means is configured to detect movement of said at least one surgical tool if the 3D spatial position of said at least one surgical tool at time tf is different than said 3D spatial position of said at least one surgical tool at time t0; and,
- d. a controller configured to control the spatial position of said at least one surgical tool.
Description
-
- a. A single directional interface that provide limited feedback to the surgeon.
- b. A cumbersome serial operation for starting and stopping movement directions that requires the surgeon's constant attention, preventing the surgeon from keeping the flow of the surgical procedure.
-
- a. at least one surgical tool configured to be inserted into a surgical environment of a human body for assisting a surgical procedure;
- b. at least one location estimating means configured to real rime locate the 3D spatial position of the at least one surgical tool at any given time t;
- c. at least one movement detection means communicable with a movement's database and with said location estimating means; said movement's database is configured to store said 3D spatial position of said at least one surgical tool at time tf and at time t0; where tf>t0; said movement detection means is configured to detect movement of said at least one surgical tool if the 3D spatial position of said at least one surgical tool at time tf is different than said 3D spatial position of said at least one surgical tool at time t0; and,
- d. a controller having a processing means communicable with a controller's database, the controller configured to control the spatial position of the at least one surgical tool; said controller's database is in communication with said movement detection means;
- wherein the controller's database is configured to store a predetermined set of rules according to which allowed and restricted movements of the at least one surgical tool are determined, such that each detected movement by said movement detection means of said at least one surgical tool is determined as either an allowed movement or as a restricted movement according to said predetermined set of rules.
-
- a. at least one array comprising N regular or pattern light sources, where N is a positive integer;
- b. at least one array comprising M cameras, each of the M cameras, where M is a positive integer;
- c. optional optical markers and means for attaching the optical marker to the at least one surgical tool; and;
- d. a computerized algorithm operable via the controller, the computerized algorithm configured to record images received by each camera of each of the M cameras and to calculate therefrom the position of each of the tools, and further configured to provide automatically the results of the calculation to the human operator of the interface.
-
- a. providing a surgical controlling system, comprising: (i) at least one surgical tool; (ii) at least one location estimating means; (iii) at least one movement detection means; and, (iv) a controller having a processing means communicable with a controller's database;
- b. inserting the at least one surgical tool into a surgical environment of a human body;
- c. real-time estimating the location of the at least one surgical tool within the surgical environment at any given time t; and,
- d. detecting if there is movement of said at least one surgical tool if the 3D spatial position of said at least one surgical tool at time tf is different than said 3D spatial position of said at least one surgical tool at time t0;
- e. controlling the spatial position of the at least one surgical tool within the surgical environment by means of the controller;
- wherein the step of controlling is performed by storing a predetermined set of rules in a controller's database; said predetermined set of rules comprises allowed and restricted movements of the at least one surgical tool, such that each detected movement by said movement detection means of said at least one surgical tool is determined as either an allowed movement or as a restricted movement according to said predetermined set of rules.
-
- a. at least one array comprising N regular or pattern light sources, where N is a positive integer;
- b. at least one array comprising M cameras, each of the M cameras, where M is a positive integer;
- c. optional optical markers and means for attaching the optical marker to the at least one surgical tool; and,
- d. a computerized algorithm operable via the controller, the computerized algorithm configured to record images received by each camera of each of the M cameras and to calculate therefrom the position of each of the tools, and further configured to provide automatically the results of the calculation to the human operator of the interface.
-
- a. at least one endoscope configured to acquire real-time images of a surgical environment within the human body;
- b. a maneuvering subsystem configured to control the spatial position of the endoscope during the laparoscopic surgery; and,
- c. a tracking subsystem in communication with the maneuvering subsystem, configured to control the maneuvering system so as to direct and modify the spatial position of the endoscope to a region of interest;
- wherein the tracking subsystem comprises a data processor; the data processor is configured to perform real-time image processing of the surgical environment and to instruct the maneuvering subsystem to modify the spatial position of the endoscope according to input received from a maneuvering function ƒ(t); the maneuvering function ƒ(t) is configured to (a) receive input from at least two instructing functions gi(t), where i is 1, . . . , n and n≥2; where t is time; i and n are integers; and, to (b) output instructions to the maneuvering subsystem based on the input from the at least two instructing functions gi(t), so as to spatially position the endoscope to the region of interest.
-
- a. at least one array comprising N regular or pattern light sources, where N is a positive integer;
- b. at least one array comprising M cameras, each of the M cameras, where M is a positive integer;
- c. optional optical markers and means for attaching the optical marker to the at least one surgical tool; and,
- d. a computerized algorithm operable via the controller, the computerized algorithm configured to record images received by each camera of each of the M cameras and to calculate therefrom the position of each of the tools, and further configured to provide automatically the results of the calculation to the human operator of the interface.
-
- a. providing a surgical tracking system, comprising: (i) at least one endoscope configured to acquire real-time images of a surgical environment within the human body; (ii) a maneuvering subsystem in communication with the endoscope; and, (iii) a tracking subsystem in communication with the maneuvering subsystem, the tracking subsystem comprises a data processor;
- b. performing real-time image processing of the surgical environment;
- c. controlling the maneuvering system via the tracking subsystem, thereby directing and modifying the spatial position of the endoscope to a region of interest according to input received from a maneuvering function ƒ(t);
- wherein the maneuvering function ƒ(t) is configured to (a) receive input from at least two instructing functions gi(t), where i is 1, . . . , n and n≥2; where t is time; i and n are integers; and, to (b) output instructions to the maneuvering subsystem based on the input from the at least two instructing functions gi(t), so as to spatially position the endoscope to the region of interest.
-
- a. at least one array comprising N regular or pattern light sources, where N is a positive integer;
- b. at least one array comprising M cameras, each of the M cameras, where M is a positive integer;
- c. optional optical markers and means for attaching the optical marker to the at least one surgical tool; and,
- d. a computerized algorithm operable via the controller, the computerized algorithm configured to record images received by each camera of each of the M cameras and to calculate therefrom the position of each of the tools, and further configured to provide automatically the results of the calculation to the human operator of the interface.
-
- a. at least one endoscope configured to provide real-time image of surgical environment of a human body;
- b. at least one processing means, configured to real time define n element within the real-time image of surgical environment of a human body; each of the elements is characterized by predetermined characteristics;
- c. image processing means in communication with the endoscope, configured to image process the real-time image and to provide real time updates of the predetermined characteristics;
- d. a communicable database, in communication with the processing means and the image processing means, configured to store the predetermined characteristics and the updated characteristics;
- wherein the system is configured to notify if the updated characteristics are substantially different from the predetermined characteristics.
-
- a. obtaining a system comprising:
- i. at least one endoscope configured to provide real-time image of surgical environment of a human body;
- ii. at least one processing means, configured to real time define n element within the real-time image of surgical environment of a human body; each of the elements is characterized by predetermined characteristics;
- iii. image processing means in communication with the endoscope, configured to image process the real-time image and to provide real time updates of the predetermined characteristics;
- iv. a communicable database, in communication with the processing means and the image processing means, configured to store the predetermined characteristics and the updated characteristics;
- b. providing a real-time image of surgical environment of a human body;
- c. defining the n element;
- d. characterizing each of the element with predetermined characteristics;
- e. providing a real-time update of the predetermined characteristics;
- f. notifying the user if the updated characteristics are substantially different from the predetermined characteristics.
- a. obtaining a system comprising:
-
- (a) at least one surgical tool configured to be inserted into a surgical environment of a human body for assisting a surgical procedure;
- (b) at least one endoscope configured to provide real-time image of said surgical environment;
- (c) at least one location estimating means configured to real-time locate the 3D spatial position of said at least one surgical tool at any given time t;
- (d) at least one movement detection means communicable with a movement's database and with said location estimating means; said movement's database is configured to store said 3D spatial position of said at least one surgical tool at time tf and at time t0; where tf>t0; said movement detection means is configured to detect movement of said at least one surgical tool if the 3D spatial position of said at least one surgical tool at time tf is different than said 3D spatial position of said at least one surgical tool at time t0; and,
- (e) a controller having a processing means communicable with a controller's database, said controller configured to control the spatial position of said at least one surgical tool; said controller's database is in communication with said movement detection means;
- wherein said controller's database comprising n 3D spatial positions; n is an integer greater than or equal to 2; the combination of all of said n 3D spatial positions provides a predetermined field of view; said controller is configured to relocate the 3D spatial positions of said endoscope if movement has been detected by said detection means, such that said field of view is maintained.
-
- a. at least one surgical tool configured to be inserted into a surgical environment of a human body for assisting a surgical procedure;
- b. at least one location estimating means configured to real-time estimate/locate the location (i.e., the 3D spatial position) of the at least one surgical tool at any given time t;
- c. at least one movement detection means communicable with a movement-database and with said location estimating means; said movement-database is configured to store said 3D spatial position of said at least one surgical tool at time tf and at time t0; where tf>t0; said movement detection means is configured to detect movement of said at least one surgical tool if the 3D spatial position of said at least one surgical tool at time tf is different than said 3D spatial position of said at least one surgical tool at time t0; and,
- d. a controller having a processing means communicable with a database, the controller configured to control the spatial position of the at least one surgical tool;
-
- a. a route rule;
- b. an environment rule;
- c. an operator input rule;
- d. a proximity rule;
- e. a collision prevention rule;
- f. a history based rule;
- g. a tool-dependent allowed and restricted movements rule.
- h. a most used tool rule;
- i. a right tool rule;
- j. a left tool rule;
- k. a field of view rule;
- l. a no fly zone rule;
- m. an operator input rule;
- n. a preferred volume zone rule;
- o. a preferred tool rule; and
- p. a movement detection rule,
-
- (f) the distance between the tip of the first tool and the tip of the second tool;
- (g) the distance between the body of the first tool and the tip of the second tool;
- (h) the distance between the body of the first tool and the body of the second tool;
- (i) the distance between the tip of the first tool and the body of the second tool; and any combination thereof.
-
- a. a tool detection function g1(t);
- b. a movement detection function g2(t);
- c. an organ detection function g3(t);
- d. a collision detection function g4(t);
- e. an operator input function g5(t);
- f. a prediction function g6(t);
- g. a past statistical analysis function g7(t);
- h. a most used tool function g8(t);
- i. a right tool function g9(t);
- j. a left tool function g10(t);
- k. a field of view function g11(t);
- l. a preferred volume zone function g12(t);
- m. a no fly zone function g13(t);
- n. a proximity function g14(t);
- o. a tagged tool function g15(t);
- p. a preferred tool function g16(t); and
- q. a go-to function g17(t).
-
- a. at least one endoscope configured to acquire real-time images of a surgical environment within the human body;
- b. a maneuvering subsystem configured to control the spatial position of the endoscope during the laparoscopic surgery; and,
- c. a tracking subsystem in communication with the maneuvering subsystem, configured to control the maneuvering subsystem so as to direct and modify the spatial position of the endoscope to a region of interest.
-
- a. providing a surgical controlling system, comprising: (i) at least one surgical tool; (ii) at least one location estimating means; and (iii) a controller having a processing means communicable with a database;
- b. inserting the at least one surgical tool into a surgical environment of a human body;
- c. estimating the location of the at least one surgical tool within the surgical environment; and,
- d. controlling the spatial position of the at least one surgical tool within the surgical environment by means of the controller; wherein the step of controlling is performed by storing a predetermined set of rules in the database where the predetermined set of rules comprises allowed and restricted movements of the at least one surgical tool, such that the spatial position of the at least one surgical tool is controlled by the controller according to the allowed and restricted movements.
-
- a. providing a surgical tracking system, comprising: (i) at least one endoscope configured to acquire real-time images of a surgical environment within the human body; (ii) a maneuvering subsystem in communication with the endoscope; and (iii) a tracking subsystem in communication with the maneuvering subsystem, the tracking subsystem comprising a data processor;
- b. performing real-time image processing of the surgical environment;
- c. controlling the maneuvering subsystem via the tracking subsystem, thereby directing and modifying the spatial position of the endoscope to a region of interest according to input received from a maneuvering function ƒ(t);
- the maneuvering function ƒ(t) is configured to (a) receive input from at least two instructing functions gi(t), where i is 1, . . . , n and n≥2; where t is time; i and n are integers; and (b) to output instructions to the maneuvering subsystem based on the input from the at least two instructing functions gi(t), so as to spatially position the endoscope to the region of interest.
-
- a. at least one endoscope configured to provide real-time image of surgical environment of a human body;
- b. at least one processing means, configured to real time define n element within the real-time image of surgical environment of a human body; each of the elements is characterized by predetermined characteristics;
- c. image processing means in communication with the endoscope, configured to image process the real-time image and to provide real time updates of the predetermined characteristics;
- d. a communicable database, in communication with the processing means and the image processing means, configured to store the predetermined characteristics and the updated characteristics;
- the system is configured to notify the operator if the updated characteristics are substantially different from the predetermined characteristics.
- a. obtaining a system comprising:
- i. at least one endoscope configured to provide real-time image of a surgical environment in a human body;
- ii. at least one processing means, configured to define in real time n elements within the real-time image of the surgical environment of a human body, n is an integer greater than 0; each of the elements characterized by predetermined characteristics;
- iii. image processing means in communication with the endoscope, configured to process the real-time image and to provide real time updates of the predetermined characteristics;
- iv. a communicable database, in communication with the processing means and the image processing means, configured to store the predetermined characteristics and the updated characteristics;
- b. providing a real-time image of a surgical environment in a human body;
- c. defining the n elements;
- d. characterizing each of the elements by the predetermined characteristics;
- e. providing a real-time update of the predetermined characteristics;
- f. notifying the user if the updated characteristics are substantially different from the predetermined characteristics.
-
- Simplifying the communication interface between surgeon and mechanical assistants.
- Seamless interaction with conventional computerized automated endoscope systems.
- Simplicity of construction and reliability.
- User-friendliness.
- (a) a degree of freedom enables the system to move the endoscope or laparoscope forward and backwards;
- (b) a degree of freedom enables the system to move the endoscope or laparoscope in a zoom movement i.e. in and out of the patient's body through the penetration point;
- (c) a degree of freedom enables the system to move the endoscope or laparoscope to the right and left;
- (d) a degree of freedom enables the system to fine tune endoscope or laparoscope movements to the right and to the left;
- (e) a degree of freedom enables the system to fine tune endoscope or laparoscope movements forward and backwards;
- (f) a degree of freedom enables the system to rotate the camera with respect to the endoscope's long axis. This degree of freedom is necessary to keep the horizon of the image from changing when using an endoscope with “angled edge”.
α2(t)=Gd4/maximum(Gd4)
or
Claims (34)
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US11364629B2 (en) | 2019-04-27 | 2022-06-21 | The Johns Hopkins University | Data-driven position estimation and collision detection for flexible manipulator |
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US11185315B2 (en) | 2021-11-30 |
US20190269391A1 (en) | 2019-09-05 |
US20190269390A1 (en) | 2019-09-05 |
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